Homestead_Alexander (5) H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail Moers Escrow Officer
Company
Address(number and street,city,state,country,and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Ross M. Key Shannon L. Key
Address(number and street) Address(number and street)
5329 N.550 E 5329 N. 550 E
City,State and ZIP Code City,State and ZIP Code
Patoka, IN 47666 Patoka, IN 47666
Country Country
United States of America United States of America
E-mail address .
best of my knowledge and belief, is true, correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real
property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of eller
rinted Name of Seller Date signed(mm/dd/yyyy) Printed Name of eller I Date signed(mm/dd/yyyy)
Ross M. Key 12/20/2021 Shannon L. Key 12/20/2021
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appet4.otletnElbilDt
Cali Danae Alexander
Address(number and street) Address(number and street!'"-
ID 2-0 S SP&xi .6 it-ve C3,- t•
i
City,State and ZIP Code City,State and ZIP Code DEC 2 2 2021 "fl
Aro ? imf
(c6,0t,E47,,, - q 77 G,- o ,
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Country Country Yhzeitezzi ez,pica4i;,,,)
United States of America GIBSON COUNTY AUDITOR
E-mail address
apply for certain deductions.Identify all of those that apply:
YZp, NO CONDITION YES/ NO CONDITION
0 1. Will this property be the buyer's primary residence? RV 0 3. Homestead
0 El 4. Solar Energy Heating or Cooling System
0 1/2. Does the buyer have a homestead to be vacated for this 0 El 5. Wind Power Device
residence? If yes, provide address: 0 RI 6. Hydroelectric Power Device
Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device
City, State,and ZIP Code County
oc71. I 2 -,C7 .e.
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real